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Medicines. Health Systems. Universal Health Coverage.
Smart Governance.Remarks from James A. Rice, Ph.D.Project Director, USAID Project for Leadership, Management, Governance
UHC Coverage
Design
Provider Contracting
Pharma Quality
Pharma Supply Chain
Pharma Retail Access
Governing the Many Facets of Pharma in UHC
What are the key issues/challenges?How to mitigate and manage these challenges?
Many Instruments in “Governance”
1. Regulations2. Law Suits3. Market Forces4. Contract Obligations5. Oversight by Governing Bodies6. Ethics of Players
Our Panel: Catalysts and Guides for Smart Conversation on Issues and Initiatives
Moderator: Jim Rice, MSH Gilles Forte (WHO) Julio Siede (PAHO) John Simon (PharmAccess and Total Impact Advisors)
4
The Focus of Smart Governance in UHC Pharma
Smart Governance.Governance at All Levels:
Macro: Cross National. Patents, Policies, Intellectual Property and Trade Regulations (WTO & WHO)
Meso: Within a National State (Ministry of Health, FDA equivalent, Ministry of Finance & Economics)
Micro: Within Public and Private Health Insurance Organizations, Service Delivery Systems, Manufacturers, Distribution Companies, Retail Units/Enterprises
But what is to be governed, and what is Smart Governance?
UHC Coverage
Design
Provider Contracting
Pharma Quality
Pharma Supply Chain
Pharma Retail Access
Governing the Many Facets of Pharma in UHC
What are the key issues/challenges?How to mitigate and manage these challenges?
The Governance in UHC Challenge is Complicated:
1. Who is covered2. What is covered3. How much is covered4. What is available &
how to access what is covered
5. Cost/price of what is covered
6. Quality of what is delivered
7. How much out-of-pocket
Smart Governance at All Levels
Smart Governance at All Levels
Many Resources
Smart Governance at All Levels
Four Essential Governance Practices
Need Clarity on All Dimensions
Medicines. Health Systems. Universal Health Coverage. Smart Governance.
WHO Provides Common Concepts.
Smart Decision Making Principles, Practices and Infrastructure.
Smart Governance.Governance at All Levels:
Macro: Cross National. Patents, Policies, Intellectual Property and Trade Regulations (WTO & WHO)
Meso: Within a National State (Ministry of Health, FDA equivalent, Ministry of Finance & Economics)
Micro: Within Public and Private Health Insurance Organizations, Service Delivery Systems, Manufacturers, Distribution Companies, Retail Units/Enterprises
But what is Smart Governance?
Smart Governance at All Levels
Governing the Supply Chain
Smart Governance at All Levels
Smart Governance at All Levels
One Example to Illustrate Governing Framework: Australia
Smart Governance at All Levels
Smart Governance at All Levels
Smart Governance at All Levels
Smart Governance at All Levels
Smart Governance at All Levels
Transparency and Information
Coherent Decision Making Structures
Consistency and Stability
Stakeholder Participation
Supervision and Regulation
Assessing Nation’s
Governance
Many Players Expected in The Governance Landscape
Govern UHC Design
Top 1-3 Factors Frustrating Smart Governance
Top 1-3 Factors Facilitating Smart Governance
Govern Financing of UHC
Top 1-3 Factors Frustrating Smart Governance
Top 1-3 Factors Facilitating Smart Governance
Govern Pharma Supply Chain
Top 1-3 Factors Frustrating Smart Governance
Top 1-3 Factors Facilitating Smart Governance
The Leadership, Management & Governance (LMG) Project
Thank you!Questions/Comments
